About Achilles Tendonitis Treatment

What you should know about Achilles Tendonitis, ruptured Achilles Tendon symptoms and causes and the Achilles Tendonitis treatment offered by Preferred Foot and Ankle Specialists, Dr. Mikkel Jarman, Podiatrist in Phoenix, Arizona, Gilbert area.

What’s Achilles Tendinitis? (also referred to as Achilles Tendonitis)

Achilles injuries are actually quite common and can cause pain along the lower back part of the leg near your heel area. Put simply, it’s an inflammation of your Achilles tendon. This inflammation is how the body naturally responds to injury or a disease. It can cause swelling, pain and irritation. There are two different kinds of Achilles tendinitis. It depends upon the part of the tendon that is inflamed as to which part the doctor will be referring to.

Achilles Tendon Problems Graphic

It’s important to know that your Achilles tendon is by and far the largest tendon in your entire body. It connects the calf muscle to the heel bone you use it whenever you walk, jump or run. It can take a great deal of stress in jumping and running yet it is very prone to injury. This can be caused by overuse or degeneration.

Insertional Tendinitis and Noninsertional Achilles Tendinitis

Insertional Tendinitis

Insertional Tendinitis will involve the lower part of your heel where it’s attached to your Achilles tendon at your heel bone. In both conditions, the damaged tendon fibers can calcify and harden. You may have bone spurs with insertional tendinitis. It can affect insertion of the tendon any time even if you’re not active. Contact our office – we treat Insertional Achilles Tendonitis.

Noninsertional Achilles Tendinitis

The fibers in the center portion of your tendon can break down and have tiny tears. They can swell and thicken and cause pain upon any kind of movement. Tendinitis that affects the mid portion of your tendon is far more common in those who are active such as younger people.

Achilles Tendon Tear - image_wiki_cc_bruceblaus

Causes – Ruptured Achilles Tendon

Tendinitis is not usually related to an injury. It can result from repetitive use or stress to your tendon. It frequently happens when we try to do too much and too soon or fast. There are other factors that can make it much more likely to have tendinitis. These are some of the other factors that can be the cause of tendinitis.

  • Rapid increase in intensity of exercise. Increasing distance that is run even by a few short miles can cause damage.
  • Tight calf muscles. Your calf muscles may suddenly tighten up is you begin an aggressive program of exercise and put undue stress upon your Achilles tendon.
  • Bone spurs. This is defined as any extra bone growth near the Achilles tendon or where it is attached to your heel. It can rub against your tendon and be very painful.

Typical symptoms of Ruptured Achilles Tendon may include any or all of the following:

  • Pain in the Achilles tendon upon arising in the morning.
  • Stiffness upon arising in the morning.
  • Pain at the back of the heel that is exacerbated by activity.
  • Excruciating pain the following day of exercising.
  • Tendons that suddenly thicken.
  • Bone spurs.
  • Swollen ankles or tendons.

If you hear or feel a sudden “pop” at the back of your calf or your heel, you might have torn or ruptured your tendon.

Achilles Tendonitis Treatment - girl and trainer

Contact our office right away and seek medical attention if you think you tore your tendon. Call (480) 497-3946.

Foot and Ankle Specialist – Foot Doctor Visit

Reception Interior Office - Preferred Foot & Ankle - Dr Mikkel Jarman - Podiatrist Phoenix area

Severity of Achilles injuries vary greatly. Seeking immediate treatment is absolutely essential in the prevention of more serious injury, permanent or long-lasting conditions. After telling the doctor of your concerns and symptoms. Dr. Jarman will check your foot and your ankle and look at these conditions.

  • Swelling along the tendon or your heel.
  • Thickened or enlarged tendons.
  • Bone spurs on the lower section of the tendon or your heel.
  • Where you’re tender.
  • Where the pain is located in your tendon.
  • Heel pain especially near the tendon.
  • Your range of motion especially if it’s decreased.
  • He may order X rays or even an MRI to see what things look like on the inside.
  • Treatment for Achilles Tendinitis.

Achilles Tendon Repair – Nonsurgical Treatments

In some cases, you may opt for nonsurgical treatments and find pain relief. Your symptoms may subside in a few short months especially with early treatment. The pain may last three months or longer. If you’re had pain longer than 3 months and seek treatment it may take longer to find relief. Your doctor may have the following recommendations to treat your specific tendon condition.

  • Rest (rest your tendon)
  • Restriction of movement (don’t get up and wander around let your tendon rest)
  • Stop activities (no more running, walking or exercise until your doctor says it’s allowed)
  • Ice (ice your painful areas to find relief from the pain)
  • Anti-inflammatory medications such as a non-steroidal
  • Exercise to strengthen your calf muscles and reduce tendon stress (you will be taught how to do these at home several times per day for maximum results)
  • Physical therapy (a physical therapist will show you proper stretching and walking techniques)
  • Eccentric strengthening (a physical therapist will teach you how to do this)
  • Injections of cortisone (this can greatly relieve pain and pressure)
  • Orthotic inserts or supportive shoes (some show wear can be uncomfortable but orthotics can offer more support and cushioning for tender heels)
  • Heel lifts (this will give the heel more support in the shoe)
  • Walking boots (for severe pain this is often a great place to start treatment. This allows your tendon to rest and heel before putting any pressure upon it. As it heals, you may then begin some physical therapy and learn to use the foot and ankle more properly.

You can schedule your appointment online anytime!

Book an Appointment

For Achilles Tendonitis Treatment – Contact Dr. Mikkel Jarman, Podiatrist in Gilbert AZ, a suburb of Phoenix.

Call our office (480) 497-3946 if you have questions or want to schedule an appointment today.

Achilles tendonitis treatment - Walking Boot

Drs Mikkel Jarman in surgery


If your pain isn’t improving after six months of treatment or therapy, the doctor may suggest a surgical procedure. The exact kind of surgery will depend greatly upon where your injury is located and the severity of your specific injury. Some tendons are damaged more than others and surgery is individualized for each and every patient.